Parent Name *

First Name

Last Name

Dancers Name *

First Name

Last Name

Phone *

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###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Level of interest: *

I/We are interested in focused and consistent training at VAB

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I/We are interested in private lessons or supplemental training

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I/We would like to audition for a VAB production

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Legal Release and Policy Acceptance: *

I/we understand the Studio Policies

I/we understand my billing obligations

I/we understand the risks related to dance

I/we understand my responsibilities for my property

I/we understand the dress code

I/we understand the schedule

I/we give media use rights permission

I/we understand the attendance policy

Electronic Signature *

Parent/Legal Guardian Signature 1. Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Vaganova Academy of Brownsville or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Vaganova Academy of Brownsville.

First Name

Last Name

Date *

MM

DD

YYYY